Nonprescription Drugs Advisory Committee

The Safety of Phenylpropanolamine Hydrochloride (PPA) used in OTC Weight Control and Nasal Decongestant Drug Products

October 19, 2000

BACKGROUND PACKAGE 1 & 2 FOR NDAC REVIEW OF PPA/STROKE STUDY REPORT

Tab 1.  THE PPA SAFETY ISSUE:  Background Memo

Tab 2.  PPA Chronology

Tab 3.  FEDERAL REGISTER DOCUMENT, 2/26/82: OTC Weight Control Drugs; Establishment of a Monograph (Advisory Panel Report)

Tab 4.  FEDERAL REGISTER NOTICE, 4/1/91: Public Meeting on the Safety and Efficacy of PPA for OTC Weight Control Use

Tab 5.  MEETING MINS., 5/9/91: Public Meeting on the Safety and Efficacy of PPA for OTC Weight Control Use

Tab 6a.  EPIDEMIOLOGIC REVIEW OF PPA SAFETY ISSUES 4/30/91: FDA Div. of Epidemiology and Surveillance

Tab 6b. ANALYSIS OF PPA AND HEMORRHAGIC STROKE 8/6/91: FDA Div. of Epidemiology and Surveillance

Tab 6c.  SAFETY OF PPA FOR WEIGHT CONTOL DRUG 12/26/91: FDA Div. of Epidemiology and Surveillance

Tab 6d.  FDA LETTER TO EPIDEMIOLOGY CONSULTANTS 6/22/92: Request to Review and Comment on FDA's Evaluation of ADRs

Tab 6e.  CONCLUSIONS OF EPIDEMIOLOGY CONSULTANTS 7/92

Tab 6f.  SUMMARY OF CONSULTANTS REVIEWS 10/5/92 FDA Div. of Epidemiology and Surveillance

Tab 6g. ADDITIONAL EPIDEMIOLOGY CONSULTANT COMMENTS 10/92

Tab 7.  MEETING MINS.: FDA/NONPRESCRIPTION DRUG MANUFACTURERS ASSN. (NDMA) 11/9/92: Proposal for PPA/Stroke Safety Study

Tab 8.  LETTER TO NDMA 3/9/93: FDA' S PPA Safety Concerns

Tab 9.  LETTER TO NDMA 6/17/93: FDA'S Comments on Stroke Study Protocol

Tab 10.  LETTER FROM NDMA 8/11/93: NDMA's Response to FDA Comments on Proposed Study Protocol

Tab 11.  MEETING MINS: 8/25/93: Feedback Meeting on Study Protocol

Tab 12.  NDMA RESPONSE TO 8/25 FEEDBACK MEETING 10/14/93

Tab 13.  PPA/STROKE STUDY FINAL PROTOCOL 4 / 15 / 94

Tab 14.  LETTER TO NDMA 5/20/94: FDA Conclusions on PPA Effectiveness  Four Studies on Efficacy (Tabs 15-18)

Tab 15.  Weintraub et. al. "Phenylpropanolamine Oros vs. placebo in combination with Caloric restriction and physician-managed behavior modification," Clinical Pharmacology and Therapeutics, vol 39 (May 1986), , No. 5, 501-509 .*

Tab 16.  Report by David Schteingart, "A Double Blind Clinical Evaluation of the norectic Activity Of Phenylpropanolamine (75mg) Compared with Placebo in the Treatment of Exogenous Obesity," Clinical Study Synopsis, December 1989.*

Tab 17.  Report by Frank Greenwy, "A Double Blind Clinical Evaluation of the Anorectic Activity Of Phenylpropanolamine (75mg) Compared with Placebo in the Treatment of Exogenous Obesity," Clinical Study Synopsis, December 1989.*

Tab 18. Report by Richard Atkinson. "A Double Blind Clinical Evaluation of the Anorectic Activity Of Phenylpropanolamine (75mg) Compared with Placebo in the Treatment of Exogenous Obesity," Clinical Study Synopsis, December 1989.*

Tab 19.  YALE HEMORRHAGIC STROKE PROJECT: Final Study Report  .doc .pdf

Tab 20.   CONSUMER HEALTHCARE PRODUCTS ASSOCIATION:  Comment on Yale Final Study Report , dated September 24, 2000

FDA Background 3

Index doc pdf

Tab 1 - Epidemiological Review doc pdf

Spreadsheet xls

Tab 2 - Statistical Review doc pdf

Yale University response to the Consumer Healthcare Products Association Comment, dated September 19, 2000 doc pdf

Consumer Healthcare Products Association letter to Members of the FDA Nonprescriptions Drugs Advisory Committee, Dated September 21, 2000

Cover Letter

Appendix A - Epidemiology Expert Panel Meeting Report, Review of Yale Hemorrhagic Stroke Project, April 19, 2000*

Appendix B - CHPA Comments on the Hemorrhagic Stroke Project Report

Appendix C - May 1989 Submission on the Safety of Phenylpropanolamine as an OTC Ingredient

Appendix D - Epidemiologic Analysis (September 3, 1991)

 

*These documents contain copyrighted material.  They may be viewed at:  Dockets Management Branch, Food and Drug Administration, 5630 Fishers Lane, Room 1061, Rockville, MD 20852.